Application Form

For Entrance 2019-20

Applicant Information

Current School Information

Has your child ever received a special education Program? IPP - Individual Program Plan, IEP - Individual Education Plan, or had a psychoeducational assessment?

Yes

No

If YES, please explain below and provide all necessary documentation with application materials. (ex. A complete application will include a copy of the IEP and all supporting assessments.)

Uniform Order Information

Please provide all measurement information in inches

Height

Feet and Inches

Shoulder to Shoulder

Shoulder to Wrist

Waist

(i.e. where a kilt or pants will be worn)

Family Information

Applicant lives with

Parent #1

Title

Title Other

First name

Middle name

Last name

Address

City

Postal code

Home phone

Cell phone

Business phone

Correspondence email *

Business name

Occupation and position

Parent #2

Title

Title Other

First name

Middle name

Last name

Address

City

Postal code

Home phone

Cell phone

Business phone

Correspondence email *

Business name

Occupation and position

Siblings

Name

Current school

Name

Current school

General Information

How did you hear about Leahurst College?

Sign-off

Compliance with the rules of the school by the parents and student is understood as a condition of the student’s admission. In consideration of Leahurst College admitting and undertaking the education of the above named as a student, the undersigned hereby agrees to pay Leahurst College all fees and charges that shall at any time hereafter become due and payable in respect of such student. The information provided in this application remains the confidential property of Leahurst College.

Name of parent 1 (or guardian)

Name of parent 2 (or guardian)

Applying

Enrichment Opportunities

Grade 7 students are immediately challenged to complete some grade 8 content - a practice that carries over to grade 8 when exceptional students may have the opportunity to complete some grade 9 courses.